Blackstone Valley Youth & Family Collaborative in Pawtucket - Residential Treatment Facility, Emotionally Disturbed Children

Blackstone Valley Youth & Family Collaborative - NPI 1295919900

Blackstone Valley Youth & Family Collaborative is a Residential Treatment Facility, Emotionally Disturbed Children in Pawtucket, Rhode Island. Blackstone Valley Youth & Family Collaborative practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Blackstone Valley Youth & Family Collaborative is 1295919900. The last update date is 2011-06-06.

Blackstone Valley Youth & Family Collaborative's current location address is 209 Cottage St, Pawtucket, Rhode Island. You can contact this provider via phone number 4014752121 and fax number 4014752255. The mailing address for Blackstone Valley Youth & Family Collaborative is 209 Cottage St, Pawtucket, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blackstone Valley Youth & Family Collaborative
Address 209 Cottage St, Pawtucket, Rhode Island
Phone Number 4014752121
Fax Number 4014752255
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Brito A Daniel
Telephone Number 4014752121

NPI Number Detail

NPI Number 1295919900
Provider Enumeration Date 2007-12-18
Last Updated Date 2011-06-06

Provider Mailing Address Detail

Address 209 Cottage St
City Pawtucket
State Rhode Island (RI)
Post Code 28603026
Phone Number 4014752121
Fax Number 4014752255

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
251FC00000X RI --

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FAQs about Blackstone Valley Youth & Family Collaborative

What is the unique 10-digit identifier code assigned to Blackstone Valley Youth & Family Collaborative by the Centers for Medicare & Medicaid Services?

The Blackstone Valley Youth & Family Collaborative has been issued the NPI (National Provider Identifier) 1295919900 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Blackstone Valley Youth & Family Collaborative located?

The Blackstone Valley Youth & Family Collaborative is located at 209 Cottage St, Pawtucket, RI 28603026.

What is the area of specialization for Blackstone Valley Youth & Family Collaborative, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Blackstone Valley Youth & Family Collaborative is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.

On what date did the Blackstone Valley Youth & Family Collaborative receive its 1295919900 assignment from the Centers for Medicare & Medicaid Services?

The Blackstone Valley Youth & Family Collaborative was assigned its 1295919900 by the Centers for Medicare & Medicaid Services on 2007-12-18.

When was the information pertaining to Blackstone Valley Youth & Family Collaborative most recently updated or revised?

The details related to Blackstone Valley Youth & Family Collaborative, including its address, specialty, and other relevant information, were last updated or revised on 2011-06-06.

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